1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. JENNIFER LEDEZMA DOMINGUEZ MD
NPI 1730884701
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since March 31, 2023PECOS Enrolled
MSC10 5610 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-4161(505) 272-2776 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2024, Mar 31, 2023 (2 updates tracked since 2023).

About Mrs. Jennifer Ledezma Dominguez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JENNIFER LEDEZMA DOMINGUEZ MD (NPI 1730884701) is an individual student in an organized health care education/training program in Albuquerque, New Mexico and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1730884701
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMRS. JENNIFER LEDEZMA DOMINGUEZCredential: MD
Location AddressMSC10 5610 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing AddressMsc10 5610, 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-4161 · Fax (505) 272-2776
Phone(505) 272-4161
Fax(505) 272-2776
Sole ProprietorNo
Enumeration DateMarch 31, 2023
Last NPPES UpdateJune 24, 20262 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1730884701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
MSC10 5610 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131
Open in Google Maps ↗

Secondary Practice Location 1

Location 16655 S Cimarron Rd Ste 100Las Vegas, NV 89113-2181 · Phone (702) 853-3561

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jennifer Ledezma Dominguez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN MAREK
Student in an Organized Health Care Education/Training Program
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161
MICAELA RESTA
Student in an Organized Health Care Education/Training Program
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161
DEANNA GONZALEZ MD
Surgery
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161
KAELYN NICOLE BROOKS
Student in an Organized Health Care Education/Training Program
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161
DR. LEAH LUCERO MD
Surgery
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161
SARAH ALICE ZARRIN
Student in an Organized Health Care Education/Training Program
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161
ANUSARA CAROLYN ELLEN ICE MD
Student in an Organized Health Care Education/Training Program
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161
MAAHUM MEHDI MD
Student in an Organized Health Care Education/Training Program
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Ledezma Dominguez's NPI number?

The NPI number for Jennifer Ledezma Dominguez is 1730884701. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Where is Jennifer Ledezma Dominguez located?

Jennifer Ledezma Dominguez practices at Msc10 5610 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-4161.

What is Jennifer Ledezma Dominguez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jennifer Ledezma Dominguez enrolled in Medicare?

Yes. Jennifer Ledezma Dominguez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Ledezma Dominguez was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.